Clinical features and prognosis of eyeball rupture: eye injury vitrectomy study

Feng, Kang; Wang, Changguan; Hu, Yuntao; Yao, Yi; Jiang, Yanrong; Shen, Lijun; Xiu-qin, Pang; Nie, Hongping; Ma, Zhizhong

doi:10.1111/ceo.12534

Cited by 30 publications

(24 citation statements)

References 25 publications

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“…Early RD and subsequent PVR development are not the only dangers threatening these severely injured eyes. Retinal incarceration into the wound (Feng et al, 2015) is a pathology that can lead to total RD within weeks (even if true PVD does not develop), with the entire retina eventually being drawn into the wound and creating a closed funnel. The incarceration can also create a "bridge" across which the proliferating cells populate other parts of the retina (Cleary and Ryan, 1979c), leading to the classical image of endstage PVR.…”

Section: Resultsmentioning

confidence: 99%

“…It is important to appreciate that a full-thickness scleral wound (rupture, penetrating or perforating injury) need not have occurred for retinal incarceration to develop: the retina can also be dragged into the site of an IOFB impact if the injury is deep enough to involve the choroid directly (a significant factor in PVR development : Feng et al, 2015). In such cases, fullthickness retinal folds are seen radiating from the lesion ("PVR stage 0"), but no RD is present.…”

Section: Resultsmentioning

confidence: 99%

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Prophylactic chorioretinectomy for eye injuries with high proliferative‐vitreoretinopathy risk

Kuhn

Schrader

2017

Clinical Anatomy

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With its incidence exceeding 60%, proliferative vitreoretinopathy (PVR) remains the most important pathology responsible for loss of vision, even the eyeball, after certain types of severe trauma. In this article, we present results obtained using our novel surgical technique, prophylactic chorioretinectomy (PCR), to prevent the development of PVR. Data on severely injured eyes at high risk for PVR [rupture, posterior laceration, deep-impact intraocular foreign body (IOFB) trauma, perforating injury] were collected prospectively. All eyes underwent vitrectomy (PPV) by PCR within 100 hr of the trauma. Eyes were excluded if they presented with endophthalmitis or if the reconstructive surgery was performed outside this time frame. Forty eyes of 40 consecutive patients were analyzed; full follow-up information was obtained for all of them. The injury was rupture in 27%, penetrating in 15%, (deep-impact) IOFB in 35%, and perforating in 23%. PPV-PCR was performed during primary (wound closure) surgery in 59% of cases. All eyes had at least minimal vitreous hemorrhage, and none had a true posterior vitreous detachment. At the time of PPV, 30% of the eyes had a retinal detachment. Sixteen percent developed PVR, but none from the site of the PCR procedure. In 20%, silicone oil remained in the eye at the last follow-up. The visual acuity improved in 93% of eyes and worsened in none; the improvement was mostly due to surgical clearing of the media opacity. In this subgroup of eyes with severe open-globe trauma, over 60% are expected to develop PVR. PPV/PCR performed within 100 hr reduced the PVR risk significantly, so currently it remains the best option for the surgeon. Clin.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Prophylactic chorioretinectomy for eye injuries with high proliferative‐vitreoretinopathy risk

Kuhn

Schrader

2017

Clinical Anatomy

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“…Previous reports [26] have suggested that the best prognosis is found for closed ocular injury. In an open eye injury, the prognosis of a perforating injury is better than that of rupture.…”

Section: Discussionmentioning

confidence: 99%

A retrospective study of eyeball rupture in patients with or without orbital fracture

Chen¹,

Yao²,

Liu³

et al. 2017

Medicine

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To summarize the clinical features of eyeball rupture with or without orbital fracture and explore the differences between them.In all, 197 patients were observed, and the following data were recorded: sex, age, time of injury, place of injury, cause of trauma, zone of eye injury, intraocular content prolapse, surgical methods and the therapeutic process, visual acuity after injury, and the final best corrected visual acuity. The results were analyzed for statistically significant differences.There was no significant difference (P > .05) in the age, sex, or cause of injury. Patients with eyeball rupture with fracture had poorer vision than did those in the simple eyeball rupture group; eyeball rupture with fracture also had a higher probability of enucleation.In this study, the clinical results show that prognosis of eyeball rupture with orbital fracture is worse than that of eyeball rupture without orbital fracture.

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“…However, the timing of surgery is very important. The principle of treatment for patients with ruptured eyeball injury is to suture the wound immediately and restore the integrity of the eyeball as soon as possible [13]. In case of suprachoroidal hemorrhage, vitrectomy is considered about 14 days after the injury.…”

Section: Discussionmentioning

confidence: 99%

Clinical analysis of posterior segment injury in left-behind children in China

Sun

Zhuang

et al. 2020

BMC Ophthalmol

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Background: We aimed to evaluate the severity and prognosis of posterior segment injury between left-behind children (LBC) and guarded children (NLBC). Methods: A retrospective, controlled analysis of a case series was performed. Patients diagnosed with posterior segment injury in Department of vitreous and retinal, the Affiliated Ophthalmology and Otolaryngology Hospital of Fudan University were included in this study. Patients were divided into two groups, including LBC group (n = 48) and NLBC group (n = 44). All the children underwent 25G transconjunctival sutureless pars plana vitrectomy. Results: Compared with NLBC, LBC had delayed treatment, worse baseline vision and visual prognosis, lower OTS rating, more times of vitrectomies, more complicated surgical procedures, and higher rate of lens removal and silicone oil tamponade. Conclusions: Due to lack of care and delayed treatment, posterior segment ocular trauma in the LBC was more severe, more common complicated with infectious endophthalmitis, and had worse visual prognosis. It was urgent to enforce the guardianship in LBC.

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Clinical features and prognosis of eyeball rupture: eye injury vitrectomy study

Abstract: The closed-funnel retinal detachment or extensive retinal loss, PVR-C, and choroidal damage are the risk factors for unfavourable outcomes in globe ruptures.

Cited by 30 publications

References 25 publications

Prophylactic chorioretinectomy for eye injuries with high proliferative‐vitreoretinopathy risk

Prophylactic chorioretinectomy for eye injuries with high proliferative‐vitreoretinopathy risk

A retrospective study of eyeball rupture in patients with or without orbital fracture

Clinical analysis of posterior segment injury in left-behind children in China

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